Medical Oncology Department, AC Camargo Cancer Center, São Paulo 01509-001, Brazil.
Nurse Navigator Department, AC Camargo Cancer Center, São Paulo 01509-001, Brazil.
Curr Oncol. 2023 Dec 29;31(1):183-202. doi: 10.3390/curroncol31010012.
Lung cancer is a major cause of cancer deaths worldwide. Non-small-cell lung cancer (NSCLC) represents most lung cancer cases, and approximately one-third of patients present with stage III disease at diagnosis. As multiple treatment plans can be adopted for these patients depending on tumor size and nodal staging, stage III NSCLC management is challenging. Over the past decades, multidisciplinary teams (MDTs) have been implemented in healthcare services to coordinate actions among the different health care professionals involved in cancer care. The aim of this review was to discuss real-world evidence of the impact of MDTs on stage III NSCLC management, survival, and quality of life. Here, we performed a literature review to investigate the role of nutrition and navigational nursing in NSCLC care and the influence of MDTs in the choice of treatment plans, including immunotherapy consolidation, and in the management of chemotherapy and radiotherapy-related adverse events. We also performed a mapping review to identify gaps in the implementation of cancer care MDTs in healthcare services around the world.
肺癌是全球癌症死亡的主要原因。非小细胞肺癌（NSCLC）占大多数肺癌病例，约三分之一的患者在诊断时为 III 期疾病。由于这些患者的肿瘤大小和淋巴结分期不同，可以采用多种治疗方案，因此 III 期 NSCLC 的管理具有挑战性。在过去的几十年中，多学科团队（MDT）已在医疗保健服务中实施，以协调参与癌症治疗的不同医疗保健专业人员的行动。本综述的目的是讨论 MDT 对 III 期 NSCLC 管理、生存和生活质量的实际影响的证据。在这里，我们进行了文献回顾，以调查营养和导航护理在 NSCLC 护理中的作用以及 MDT 在治疗方案选择中的影响，包括免疫治疗巩固以及化疗和放疗相关不良事件的管理。我们还进行了映射审查，以确定全球医疗保健服务中癌症护理 MDT 实施方面的差距。
